{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T21:28:52Z","timestamp":1783546132722,"version":"3.55.0"},"reference-count":40,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T00:00:00Z","timestamp":1496275200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","gynecologiconcology-online.net","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Gynecologic Oncology"],"published-print":{"date-parts":[[2017,6]]},"DOI":"10.1016\/j.ygyno.2017.03.002","type":"journal-article","created":{"date-parts":[[2017,4,7]],"date-time":"2017-04-07T06:00:44Z","timestamp":1491544844000},"page":"555-561","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Vaginal vs. robotic hysterectomy for patients with endometrial cancer: A comparison of outcomes and cost of care"],"prefix":"10.1016","volume":"145","author":[{"given":"CC","family":"Nitschmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Multinu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JN","family":"Bakkum-Gamez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CL","family":"Langstraat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JA","family":"Occhino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AL","family":"Weaver","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"WA","family":"Cliby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Mariani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SC","family":"Dowdy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"16","key":"10.1016\/j.ygyno.2017.03.002_bb0005","doi-asserted-by":"crossref","first-page":"3668","DOI":"10.1200\/JCO.2005.04.144","article-title":"Retrospective analysis of selective lymphadenectomy in apparent early-stage endometrial cancer","volume":"23","author":"Cragun","year":"2005","journal-title":"J. Clin. Oncol. Off. J. Am. Soc. Clin. Oncol."},{"issue":"8","key":"10.1016\/j.ygyno.2017.03.002_bb0010","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/S1470-2045(10)70143-1","article-title":"Safety of laparoscopy versus laparotomy in early-stage endometrial cancer: a randomised trial","volume":"11","author":"Mourits","year":"2010","journal-title":"Lancet Oncol."},{"issue":"32","key":"10.1016\/j.ygyno.2017.03.002_bb0015","doi-asserted-by":"crossref","first-page":"5331","DOI":"10.1200\/JCO.2009.22.3248","article-title":"Laparoscopy compared with laparotomy for comprehensive surgical staging of uterine cancer: Gynecologic Oncology Group Study LAP2","volume":"27","author":"Walker","year":"2009","journal-title":"J. Clin. Oncol. Off. J. Am. Soc. Clin. Oncol."},{"issue":"1","key":"10.1016\/j.ygyno.2017.03.002_bb0020","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/0029-7844(94)00318-8","article-title":"Guidelines to determine the route of hysterectomy","volume":"85","author":"Kovac","year":"1995","journal-title":"Obstet. Gynecol."},{"issue":"2","key":"10.1016\/j.ygyno.2017.03.002_bb0025","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S0020-7292(00)00316-7","article-title":"Decision-directed hysterectomy: a possible approach to improve medical and economic outcomes","volume":"71","author":"Kovac","year":"2000","journal-title":"Int. J. Gynaecol. Obstet."},{"issue":"3","key":"10.1016\/j.ygyno.2017.03.002_bb0030","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1097\/AOG.0000000000000398","article-title":"Considerations to improve the evidence-based use of vaginal hysterectomy in benign gynecology","volume":"124","author":"Moen","year":"2014","journal-title":"Obstet. Gynecol."},{"issue":"9","key":"10.1016\/j.ygyno.2017.03.002_bb0035","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1007\/s00192-008-0659-y","article-title":"Natural orifice hysterectomy","volume":"19","author":"Moen","year":"2008","journal-title":"Int. Urogynecol. J. Pelvic Floor Dysfunct."},{"issue":"2","key":"10.1016\/j.ygyno.2017.03.002_bb0040","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.ajog.2013.09.028","article-title":"Hospital costs of total vaginal hysterectomy compared with other minimally invasive hysterectomy","volume":"210","author":"Dayaratna","year":"2014","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"7","key":"10.1016\/j.ygyno.2017.03.002_bb0045","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1056\/NEJM199608153350705","article-title":"Costs and charges associated with three alternative techniques of hysterectomy","volume":"335","author":"Dorsey","year":"1996","journal-title":"N. Engl. J. Med."},{"issue":"5","key":"10.1016\/j.ygyno.2017.03.002_bb0050","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1016\/j.jmig.2009.06.018","article-title":"Open abdominal versus laparoscopic and vaginal hysterectomy: analysis of a large United States payer measuring quality and cost of care","volume":"16","author":"Warren","year":"2009","journal-title":"J. Minim. Invasive Gynecol."},{"issue":"5","key":"10.1016\/j.ygyno.2017.03.002_bb0055","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1097\/AOG.0b013e3181c33c72","volume":"114","year":"2009","journal-title":"Obstet. Gynecol."},{"issue":"1","key":"10.1016\/j.ygyno.2017.03.002_bb0060","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jmig.2010.10.001","volume":"18","year":"2011","journal-title":"J. Minim. Invasive Gynecol."},{"key":"10.1016\/j.ygyno.2017.03.002_bb0065","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD003677.pub4","article-title":"Surgical approach to hysterectomy for benign gynaecological disease","volume":"3","author":"Nieboer","year":"2009","journal-title":"Cochrane Database Syst. Rev."},{"issue":"6","key":"10.1016\/j.ygyno.2017.03.002_bb0070","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1067\/mob.2002.127596","article-title":"Abdominal or vaginal hysterectomy for enlarged uteri: a randomized clinical trial","volume":"187","author":"Benassi","year":"2002","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"7","key":"10.1016\/j.ygyno.2017.03.002_bb0075","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1016\/0002-9378(82)90362-3","article-title":"Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States. The collaborative review of sterilization","volume":"144","author":"Dicker","year":"1982","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"6","key":"10.1016\/j.ygyno.2017.03.002_bb0080","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/j.jmig.2010.06.009","article-title":"Comparing robot-assisted with conventional laparoscopic hysterectomy: impact on cost and clinical outcomes","volume":"17","author":"Pasic","year":"2010","journal-title":"J. Minim. Invasive Gynecol."},{"issue":"1","key":"10.1016\/j.ygyno.2017.03.002_bb0085","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.jmig.2014.07.010","article-title":"A randomized trial comparing vaginal and laparoscopic hysterectomy vs robot-assisted hysterectomy","volume":"22","author":"Lonnerfors","year":"2015","journal-title":"J. Minim. Invasive Gynecol."},{"issue":"5","key":"10.1016\/j.ygyno.2017.03.002_bb0090","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.ajog.2013.02.008","article-title":"A randomized trial comparing conventional and robotically assisted total laparoscopic hysterectomy","volume":"208","author":"Paraiso","year":"2013","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"2","key":"10.1016\/j.ygyno.2017.03.002_bb0095","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/j.ejogrb.2013.09.025","article-title":"Overall care cost comparison between robotic and laparoscopic surgery for endometrial and cervical cancer","volume":"171","author":"Desille-Gbaguidi","year":"2013","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"issue":"1","key":"10.1016\/j.ygyno.2017.03.002_bb0100","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.ygyno.2012.06.035","article-title":"Prospective assessment of survival, morbidity, and cost associated with lymphadenectomy in low-risk endometrial cancer","volume":"127","author":"Dowdy","year":"2012","journal-title":"Gynecol. Oncol."},{"issue":"1","key":"10.1016\/j.ygyno.2017.03.002_bb0105","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.ejso.2006.09.035","article-title":"Omission of lymphadenectomy is possible for low-risk corpus cancer","volume":"33","author":"Hidaka","year":"2007","journal-title":"Eur. J. Surg. Oncol."},{"issue":"1","key":"10.1016\/j.ygyno.2017.03.002_bb0110","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.ygyno.2011.06.025","article-title":"Retrospective review of an intraoperative algorithm to predict lymph node metastasis in low-grade endometrial adenocarcinoma","volume":"123","author":"Convery","year":"2011","journal-title":"Gynecol. Oncol."},{"issue":"2 Pt 1","key":"10.1016\/j.ygyno.2017.03.002_bb0115","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1097\/AOG.0b013e318240de51","article-title":"Nodal metastasis risk in endometrioid endometrial cancer","volume":"119","author":"Milam","year":"2012","journal-title":"Obstet. Gynecol."},{"issue":"2","key":"10.1016\/j.ygyno.2017.03.002_bb0120","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.ajog.2007.04.046","article-title":"The role of vaginal hysterectomy in the treatment of endometrial cancer","volume":"197","author":"Smith","year":"2007","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"3","key":"10.1016\/j.ygyno.2017.03.002_bb0125","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/j.ajog.2015.10.006","article-title":"Route of hysterectomy and surgical outcomes from a statewide gynecologic oncology population: is there a role for vaginal hysterectomy?","volume":"214","author":"Beck","year":"2016","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"5 Pt 1","key":"10.1016\/j.ygyno.2017.03.002_bb0130","first-page":"707","article-title":"Vaginal hysterectomy as primary treatment of endometrial cancer in medically compromised women","volume":"97","author":"Chan","year":"2001","journal-title":"Obstet. Gynecol."},{"issue":"2","key":"10.1016\/j.ygyno.2017.03.002_bb0135","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/j.ygyno.2004.10.005","article-title":"Vaginal hysterectomy and abdominal hysterectomy for treatment of endometrial cancer in the elderly","volume":"96","author":"Susini","year":"2005","journal-title":"Gynecol. Oncol."},{"issue":"4","key":"10.1016\/j.ygyno.2017.03.002_bb0140","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1111\/j.1525-1438.2007.01091.x","article-title":"Vaginal versus abdominal hysterectomy in endometrial cancer: a retrospective study in a selective population","volume":"18","author":"Berretta","year":"2008","journal-title":"Int. J. Gynecol. Cancer"},{"issue":"1","key":"10.1016\/j.ygyno.2017.03.002_bb0145","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/0090-8258(91)90089-N","article-title":"Use of vaginal hysterectomy for the management of stage I endometrial cancer in the medically compromised patient","volume":"40","author":"Bloss","year":"1991","journal-title":"Gynecol. Oncol."},{"issue":"6","key":"10.1016\/j.ygyno.2017.03.002_bb0150","doi-asserted-by":"crossref","first-page":"1675","DOI":"10.1016\/0002-9378(95)91399-8","article-title":"Uterine prolapse complicated by endometrial cancer","volume":"172","author":"Cliby","year":"1995","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"1","key":"10.1016\/j.ygyno.2017.03.002_bb0155","first-page":"84","article-title":"Vaginal hysterectomy; indications, advantages, and surgical technic","volume":"1","author":"Counseller","year":"1953","journal-title":"Obstet. Gynecol."},{"issue":"6","key":"10.1016\/j.ygyno.2017.03.002_bb0160","doi-asserted-by":"crossref","first-page":"1506","DOI":"10.1067\/mob.2000.107335","article-title":"Low-risk corpus cancer: is lymphadenectomy or radiotherapy necessary?","volume":"182","author":"Mariani","year":"2000","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"5","key":"10.1016\/j.ygyno.2017.03.002_bb0165","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","article-title":"A new method of classifying prognostic comorbidity in longitudinal studies: development and validation","volume":"40","author":"Charlson","year":"1987","journal-title":"J. Chronic Dis."},{"issue":"2","key":"10.1016\/j.ygyno.2017.03.002_bb0170","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/SLA.0b013e3181afde41","article-title":"The accordion severity grading system of surgical complications","volume":"250","author":"Strasberg","year":"2009","journal-title":"Ann. Surg."},{"issue":"25","key":"10.1016\/j.ygyno.2017.03.002_bb0175","doi-asserted-by":"crossref","first-page":"3083","DOI":"10.1002\/sim.3697","article-title":"Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity-score matched samples","volume":"28","author":"Austin","year":"2009","journal-title":"Stat. Med."},{"issue":"2 Pt 1","key":"10.1016\/j.ygyno.2017.03.002_bb0180","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1097\/AOG.0000000000000372","article-title":"Lymphedema after surgery for endometrial cancer: prevalence, risk factors, and quality of life","volume":"124","author":"Yost","year":"2014","journal-title":"Obstet. Gynecol."},{"issue":"3","key":"10.1016\/j.ygyno.2017.03.002_bb0185","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1097\/AOG.0b013e318264f848","article-title":"Vaginal cuff dehiscence in a series of 12,398 hysterectomies: effect of different types of colpotomy and vaginal closure","volume":"120","author":"Uccella","year":"2012","journal-title":"Obstet. Gynecol."},{"issue":"4","key":"10.1016\/j.ygyno.2017.03.002_bb0190","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1097\/AOG.0b013e31822f1c92","article-title":"Vaginal cuff dehiscence after different modes of hysterectomy","volume":"118","author":"Hur","year":"2011","journal-title":"Obstet. Gynecol."},{"key":"10.1016\/j.ygyno.2017.03.002_bb0195","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD003677.pub5","article-title":"Surgical approach to hysterectomy for benign gynaecological disease","volume":"8","author":"Aarts","year":"2015","journal-title":"Cochrane Database Syst. Rev."},{"issue":"1","key":"10.1016\/j.ygyno.2017.03.002_bb0200","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s00404-008-0879-x","article-title":"Prophylactic bilateral oophorectomy during vaginal hysterectomy for benign pathology","volume":"280","author":"Camanni","year":"2009","journal-title":"Arch. Gynecol. Obstet."}],"container-title":["Gynecologic Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090825817302032?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090825817302032?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,9,2]],"date-time":"2018-09-02T22:28:06Z","timestamp":1535927286000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0090825817302032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":40,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["S0090825817302032"],"URL":"https:\/\/doi.org\/10.1016\/j.ygyno.2017.03.002","relation":{},"ISSN":["0090-8258"],"issn-type":[{"value":"0090-8258","type":"print"}],"subject":[],"published":{"date-parts":[[2017,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Vaginal vs. robotic hysterectomy for patients with endometrial cancer: A comparison of outcomes and cost of care","name":"articletitle","label":"Article Title"},{"value":"Gynecologic Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ygyno.2017.03.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}